Individual provider Active NPI

Sarika B Heggannavar

  • Dentist
  • Merritt Island, FL
National Provider Identifier
1407102999
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19785 Issued in FL
Practice address
800 E Merritt Island Cswy
Merritt Island, FL 32952-3514
Phone
(321) 453-8882
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19785 FL Primary

Addresses

Primary practice location

800 E Merritt Island Cswy
Merritt Island, FL 32952-3514

Mailing address

10412 Plaza Centro
Boca Raton, FL 33498-6723
Phone (561) 237-5118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN19785FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1407102999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 PLAZA CENTRO",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986723",
            "telephone_number": "561-237-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MERRITT ISLAND CSWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523514",
            "telephone_number": "321-453-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGANNAVAR",
        "first_name": "SARIKA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.